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What is “direct primary care”?

Direct Primary Care provides you with all the medical attention you need without anxieties over hassles, like insurance. You have a personal relationship with your physician, where you can spend unlimited time discussing your treatment plan. You have direct contact with your physicians, 24/7 via cell phone, email or telehealth and you have direct payment between you and your physicians for the care you receive.

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Why is a Direct Primary Care practice a better option?

  • As you may know from personal experience, many patients will only be able to afford a high deductible plan in the future, in which the insurance won’t cover the first $2,000-$6,000 ‘deductible’ that they spend anyway.

  •  With the membership model of health care, people can maximize the amount of healthcare they get and minimize their cost directly. Pay a membership fee and get unlimited office visits, as well as technology visits using their computer or smart device and more direct access to your doctor.

  • Any procedures we perform in our office are done by the doctor without charge: EKG, cryosurgery, medication injections, etc. **(IV infusion and Hyperbaric oxygen bed are additional charges)

  • No co-payments, co-insurance, or deductibles — EVER

  • No annual or long-term contracts when joining, we only require a 3-month membership to start and then it will adjust to monthly.

  • Always call us instead of going to the ER or Urgent Care

  • No restrictions based on age or pre-existing conditions—everyone is welcome

  • Telemedicine for free every day. You receive health care support in person, by phone, or by email — seven-day-a-week.

  • Never feel rushed — unhurried appointments with your doctor who focuses only on you

  • We coordinate your referrals, communicate with your specialists, and work with you to help you create your own care plan

Check out this great comparison chart 

Membership Fee questions

The membership fee is a recurring charge – like a gym membership – that is billed to patients in exchange for comprehensive primary care services provided by the physician. The first bill is your enrollment fee and 3 months up front of services.  Once those 3 months are over it then becomes a monthly membership.  Our transparent, straightforward and fixed membership fee covers all of your primary healthcare needs at our office. (There are additional fees for certain supplemental services and procedures.) Memberships are ongoing and open but must be paid ongoing in order to maintain service with us.


We do not offer a one-time visit option.

Click here to see the breakdown of Gessling Family Wellness fees


Insurance Questions

Insurance should cover all the outside testing, such as labs and radiology, referrals to specialists and hospitalizations you may require. We are not participating in any insurance billing, including Medicare and Medicaid.


We have opted out of Medicare and Medicaid we cut the red tape – we removed the restraints of both government and insurance controlling your health care choices and decisions.

 We gladly see patients with Medicare. We do not bill Medicare for those services, however.
Medicare regulations require you sign a one-time waiver declaring that neither you nor your doctor will
directly bill Medicare for our services. Medicare will still cover any laboratory testing, imaging,
medications, or hospitalizations prescribed by our office.

If you have a Health Savings Account or Flexible Spending plan, your membership fee MAY be covered under these savings plans. The rules continue to evolve on both state and national levels, often in a very favorable way concerning DPC. Because of this rapid change, however, we strongly encourage you to verify this with your accountant or financial advisor; But as far as we understand it, yes, you can use your FSA (flexible spending account) or HSA (health savings account) to pay for membership in DPC and for service fees (specialized visits, labs, etc.)

We find Christian Healthcare, Liberty, Medi-Share, and Samaritan programs complement
membership in a DPC quite nicely.

Direct Patient Care can provide day-to-day services while a high deductible or a healthcare cost sharing plan can help limit the enormous expenses of a major event. High deductible health insurance plans usually have 20-50% lower premiums than low-deductible (“co-pay”) type plans. Christian healthcare cost sharing plans, while not insurance, have even lower monthly out-of-pocket costs.

What happens if I need medical attention while I’m away from home?

Naturally we provide such care! This is another freedom we enjoy together as a result of our independence from the restrictions of third-party payment. Because we know you well, we can streamline your care when you’re sick while away from home. Many illnesses, suffered by a patient whose physician know them well, can be diagnosed and treated with a conversation by phone, email, text or webcam. We’ll locate the nearest pharmacy and order the medications most appropriate for your circumstances. 

Do you make house calls?

Yes. It always depends a little on your location and physician availability, of course. 

Can I get ahold of Dr. after hours? 

 Yes!  Illness and injury do not respect regular office hours, you can call, text, or email her and set something up. 

Are you accepting new patients?

Yes, we are accepting new patients. Please contact our office at 660-395-0370.

Can I join later, once the practice is full?

  • No, in order to provide the highest possible level of personalized, quality care to patients who choose our practice, we must limit membership to a specific number of patients.

  • As a result, once our practice membership is full, a waiting list will be established. As openings become available, you will be contacted by a member of our team regarding membership

How do I cancel? What does that entail?

  • If you decide to cancel- you just let us know. We expect to have an open, honest, respectful relationship with you.  We ask that you give us a 30 day notice if you wish to cancel. If this is not possible your membership will end when your paid coverage for the month ends.

  • If you cancel then decide to rejoin, you will be asked to pay the enrollment fee again.  We only take a limited amount of patients so we cannot guarantee there will be availability, if this is the case you will be placed on the waiting list.

Can I get a refund?

  • No

Who can access GFW Therapeutics and Aesthetics?

  • Anyone, you do not have to be a member of Gessling Family Wellness or a patient of Dr. Gesslings to access these services.  


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insurance questions
away from home
House callsafterhours
new pts
Therapeutics and Aesthetics
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